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Other diagnostic studies (consider ordering based on results of H&P and ECG)
• Ambulatory ECG monitoring: if suspect arrhythmogenic syncope
Holter monitoring (continuous ECG 24–48 h): useful if frequent events
arrhythmia " sx (4%); asx but signif. arrhythmia (13%); sx but no arrhythmia (17%)
Event recorder (activated by Pt to record rhythm strip): useful for infrequent events, but
problematic if no prodrome; yield 20–50% over 30–60 d of monitoring
LWBK634-c01[01-42].qxd 7/7/10 2:37 PM Page 38 Aptara Inc
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